Links To:

>Designated Service Provider (DSP) Pharmacies

>Medication Formularies


>Chronic Medication Application Form


Please contact our dedicated pharmacy call centre on:

Tel: 041 395 4482

Email: [email protected]

ied limiujhhukjjjuhhits, levies, and Formulary/Reference pricing or exclusions that may be applicable.

Membre encouraged to make use of Designated Service Provider (DSP) Pharmacies and representative formulary medicine, where applicable, when claiming medicine; so that member out-of-pocket expenses may be avoided.

Quantity limitations are applied to certain medicines, categorised by drug category and dosage form. However, quantity limitations do not apply to medicine

Chronic Disease List-The Prescribed Minimum Benefit regulations require that Medical Schemes cover the diagnosis, medical management and medicine for a specified list of 27 chronic conditis the Chronic Disease List (CDL). All such ailments meeting approval criteria will be authorised under the Prescribed Minimum Benefit (PMB) Medication benefit.

CDL conditions:

Addison’s DiseaseAsthma

polar Mood Disorder


Cardiac FailureCardiomymnnjkjgkjhgfytdsrseajhhonkopathy

honic Obstructive Pulmonary Disease

Chonic Renal Failure

Coronary Artery Disease

Crohn’s Disease

Diabetes Insipidus

be authorised as per Scheme rules. Benefit limits apply, please contact your customer care centre for more assistance on your specific benefits.Diabetes Mellitus Type I


>Chronic Medication Application Form